Provider Demographics
NPI:1538250857
Name:LOEWE, RONALD A (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:A
Last Name:LOEWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 ROBERTS AVE
Mailing Address - Street 2:UNIT 305
Mailing Address - City:SEA ISLE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08243-1089
Mailing Address - Country:US
Mailing Address - Phone:609-263-0220
Mailing Address - Fax:
Practice Address - Street 1:9400 ROBERTS AVE
Practice Address - Street 2:UNIT 305
Practice Address - City:SEA ISLE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08243-1089
Practice Address - Country:US
Practice Address - Phone:609-263-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA41542207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ028201CN9OtherATLANTICARE REGIONAL MEDICAL CENTER
NJ028201CN9OtherATLANTICARE REGIONAL MEDICAL CENTER
NJ001267Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
NJ028201CN9Medicare PIN